Nursing homes › Nebraska › Good Samaritan Society - Grand Island Village
4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE 68803 · 3083843535 · 67 certified beds
Per CMS filings, this facility is affiliated with Good Samaritan Society, a group operating 91 facilities in 9 states. Group record: average rating 3.0/5, 7 abuse citation icons, 5 facilities on the Special Focus list, $2,237,184 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.56 (Nebraska median: 3.95). RN hours: 0.50. Weekend total: 3.22. Nursing staff turnover: 64%.
All-time on record: 22 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2026-02-06 |
| 2025-12-30 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-02-06 |
| 2025-12-30 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-02-06 |
| 2025-12-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2026-02-06 |
| 2025-12-30 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-02-06 |
| 2025-12-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-02-06 |
| 2025-12-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-02-06 |
| 2025-12-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2026-02-06 |
| 2025-12-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-02-06 |
| 2025-05-05 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2025-06-09 |
| 2025-05-05 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-06-09 |
| 2025-03-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-09 |
| 2024-09-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-10-21 |
| 2024-09-26 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-10-21 |
| 2024-09-26 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2024-10-21 |
| 2024-09-03 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-10-21 |
| 2023-11-16 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2023-12-22 |
| 2023-11-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-12-22 |
| 2023-11-16 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2023-12-22 |
| 2023-11-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-12-22 |
| 2023-11-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-12-22 |
| 2023-11-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-12-22 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-03 | Fine | $10,033 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SANFORD | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2019 |
| CAIN, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| DYKHOUSE, DANA | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| MOLBERT, LAURIS | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| SHULKIN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| FLUIT, JOEL | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | Corporate Officer | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | Corporate Officer | Individual | NOT APPLICABLE | since 04/08/2024 |
| ROGERS, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/13/2022 |
| SCHEMA, NATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 285285. Corrections: data@carerecords.org.